Liberty Eye Surgical Center Llc

LBN: Liberty Eye Surgical Center Llc
Liberty Eye Surgical Center Llc is an health care organization with primary practice located at 9122 Blue Grass Rd , Philadelphia PA 19114-3202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Liberty Eye Surgical Center Llc can be contacted via phone (215) 673-9231, or through Slochower, Dennis via phone (215) 673-9231.

Contact Information

Primary practice address
9122 Blue Grass Rd Philadelphia PA 19114-3202
Phone: (215) 673-9231
Fax: (215) 673-9236
Website:
Map and Directions
Authorized official contact:
Name: Slochower, Dennis Doctor of Medicine (MD)
Phone: (215) 673-9231

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 17401501 Pennsylvania

Profile Details

NPI number 1447218433
LBN Legal business name Liberty Eye Surgical Center Llc
DBA Doing business as
Authorized official Slochower, Dennis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Dec 9th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447218433 NPPES
Pennsylvania Other 3562638 AETNA HEALTHCARE
Pennsylvania Other 0001624000 AETNA HEALTHCARE
Pennsylvania Other 0001624000 AETNA HEALTHCARE
Pennsylvania MEDICAID 35387 AETNA HEALTHCARE
Pennsylvania MEDICAID 100964206001 AETNA HEALTHCARE
Pennsylvania MEDICAID 30019554 AETNA HEALTHCARE

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